NITIN SAWHENY MD
NPI 1508066127
Internal Medicine in Oklahoma City, OK

Active since July 21, 2007PECOS EnrolledAccepts Medicare Assignment
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120(405) 752-3962 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nitin Sawheny Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NITIN SAWHENY MD (NPI 1508066127) is an individual internal medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (25809) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1508066127
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNITIN SAWHENYCredential: MD
Location Address4300 W MEMORIAL RDOklahoma City, OK 73120-8304
Mailing Address4401 W Memorial Rd, Suite 140Oklahoma City, OK 73134-1785 · (405) 752-3162 · Fax (405) 936-5211
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 21, 2007
Last NPPES UpdateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
NPI 1508066127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OK · 25809
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 25809 (OK)
4300 W MEMORIAL RD, Oklahoma City, OK 73120

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nitin Sawheny Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971627258
PECOS Enrollment IDI20100824000943
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
161 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services72 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
62 services59 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
55 services33 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
44 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
83%150 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Hospitalist
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Emergency Medicine
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nitin Sawheny's NPI number?

The NPI number for Nitin Sawheny is 1508066127. It was assigned to this individual provider in the NPPES registry on July 21, 2007.

Where is Nitin Sawheny located?

Nitin Sawheny practices at 4300 W Memorial Rd, Oklahoma City, OK 73120. The listed phone number is (405) 752-3962.

What is Nitin Sawheny's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nitin Sawheny enrolled in Medicare?

Yes. Nitin Sawheny is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nitin Sawheny accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and Oscar Insurance Company list Nitin Sawheny as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nitin Sawheny was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.